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J&J Vaccinations Remain Paused After Rare Clotting Cases Emerge

U.S. halt on the use of J&J’s coronavirus vaccine continues while federal health officials study rare adverse events. An independent advisory panel for the Centers for Disease Control and Prevention (CDC) will meet again this week to resume deliberations about the use of Johnson & Johnson’s coronavirus vaccine, CDC Director Dr. Rochelle Walensky said during […]

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AAPC Knowledge Center

D68.32 Won’t Get You Paid for Blood Clotting Factor

Medicare Part A claims that include ICD-10-CM diagnosis code D68.32 Antiphospholipid antibody with hemorrhagic disorder will be denied after June 30, 2018, when the code is terminated. Per the Inpatient Hospital Billing Manual, Chapter 3, Section 20.7.3, Payment for Blood Clotting Factor Administered to Hemophilia Inpatients, effective July 1, 2018, payment may be made for […]
AAPC Knowledge Center

Annual Clotting Factor Furnishing Fee Update 2018


The Centers for Medicare and Medicaid Services (CMS) includes the clotting factor furnishing fee in the published national payment limits for clotting factor billing codes. When the national payment limit for a clotting factor is not included on the Average Sales Price (ASP) Medicare Part B Drug Pricing File or the Not Otherwise Classified (NOC) Pricing File, the MACs make payment for the clotting factor as well as payment for the furnishing fee. For dates of service from January 1, 2018, through December 31, 2018, the clotting factor furnishing fee of $ 0.215 per unit is added to the payment limit for the clotting factor. 


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